Active NPI
Mayttee Gierbolini, T.C., P.V.
- Vascular Specialist/Technologist Cardiovascular
- Coamo, PR
National Provider Identifier
1972512879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Specialist/Technologist Cardiovascular
- License
- N/A
- Practice address
- 43 Calle Baldorioty Ste 4
Coamo, PR 00769-3120 - Phone
- (787) 617-4564
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Specialist/Technologist Cardiovascular | 246XC2903X | N/A | PR | Primary |
Addresses
Primary practice location
43 Calle Baldorioty Ste 4
Coamo, PR 00769-3120
Mailing address
43 Calle Baldorioty Ste 4
PO Box 2437
Coamo, PR 00769-3120
Phone (787) 617-4564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 246XC2903X | Other | PR | CARDIOVASCULAR TECNICAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N/A | PR | MD | Vascular Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972512879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 CALLE BALDORIOTY STE 4",
"address_2": "PO BOX 2437",
"city": "COAMO",
"state": "PR",
"postal_code": "007693120",
"telephone_number": "787-617-4564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 CALLE BALDORIOTY STE 4",
"city": "COAMO",
"state": "PR",
"postal_code": "007693120",
"telephone_number": "787-617-4564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIERBOLINI",
"first_name": "MAYTTEE",
"name_prefix": "Mrs.",
"credential": "T.C., P.V.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246XC2903X",
"taxonomy_group": "",
"desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
"state": "PR",
"license": "N/A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARDIOVASCULAR TECNICAL",
"identifier": "246XC2903X",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coamo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.